NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
Which of the following nursing actions has the HIGHEST priority in caring for the client with hypoparathyroidism?
Correct Answer: B
Rationale: cardiac dysrhythmias related to low serum calcium would be the highest priority
Question 2 of 5
A patient has a Levin tube connected to intermittent low suction. At 7 AM, the nurse charts that there is 235 cc of greenish drainage in the suction container. At 3 PM, the nurse notes that there is 445 cc of greenish drainage in the suction container. Twice during the shift, the nurse irrigates the Levin tube with 30 cc of normal saline, as ordered by the physician. What is the actual amount of drainage from the nasogastric tube for the 7 to 3 shift?
Correct Answer: A
Rationale: 445-235=210-60=150
Question 3 of 5
A mother brings her 26 month-old to the well-child clinic. She expresses frustration and anger due to her child's constantly saying 'no' and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need?
Correct Answer: C
Rationale: Independence. In Erikson's theory of development, toddlers struggle to assert independence, often using the word 'no' to establish autonomy.
Question 4 of 5
The nurse is caring for an older adult in his home. Which of the following factors increase the client's risk for falls? Select all that apply.
Correct Answer: A,C,F
Rationale: Age over 65, scatter rugs, and obstacles like plants increase fall risk. A one-story home, handrails, and the wife's housework reduce risk.
Extract:
During the physical assessment, the nurse determines the need to perform the bulge Test .
Question 5 of 5
Which of the following statements, if made by the nurse, is BEST?
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-bulge Test confirms presence of fluid in the knee; client's leg should be extended and supported on the bed (2) observing curve of spine; scoliosis will cause lateral curve in the spine (3) unrelated to knee examination (4) Test s articulation of elbow